Bruce Carpenter MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F6508 Issued in TX

Legal business name

BRUCE CARPENTER MD

Practice address

409 Glenwood St
Suite 500
Glen Rose, TX 76043-4933

Phone

(254) 897-2202

Fax

(254) 897-2102

NPI assigned

Nov 16, 2007

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce D Carpenter, M.D.NPI 1346298031

Title

Owner

Phone

(254) 897-2202

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce D Carpenter, M.D.

  • Family Medicine Physician
  • Granbury, TX
  • NPI 1346298031
  Authorized official Same address or phone
• C Jeffrey Bise, LPC

  • Professional Counselor
  • Glen Rose, TX
  • NPI 1497831432
  NPD (past)
• Amy Lynn Edwards, PA-C

  • Physician Assistant
  • Waxahachie, TX
  • NPI 1497764260
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1699956722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760430806",
            "telephone_number": "254-897-2202",
            "fax_number": "254-897-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 GLENWOOD ST",
            "address_2": "SUITE 500",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434933",
            "telephone_number": "254-897-2202",
            "fax_number": "254-897-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE CARPENTER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-897-2202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F6508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Barnum, DMD
• Mikayla Jane Belew, MS, OTR/L
• Best Value Pharmacies Inc (Best Value Medical Center)
• C Jeffrey Bise, LPC
• Dale Bradley, RN
• Burroughs Medical Clinic, PA
• Karen Burroughs, MD
• Careatc
• Carla Denise Champion
• Charis Psychological Services & Christian Counseling, PLLC (Charis Counseling)

• Family Medicine Physician in Glen Rose, TX
• Providers in Glen Rose, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.